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Organization

OLTON FAMILY HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM PAUL WHITE (CEO)
(806) 285-2209
Entity
Organization

Contact information

Practice address
600 MAIN ST, OLTON, TX 79064-0508
(806) 285-2209
(806) 285-2209
Mailing address
PO BOX 508, 600 MAIN STREET, OLTON, TX 79064-0508
(806) 285-2209
(806) 285-2209

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0096KY
BLUE CROSS BLUE SHIELD OF TEXAS
TX
05
164499901
TX
05
164499902
TX
Enumeration date
10/05/2005
Last updated
04/14/2010
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